Healthcare Provider Details

I. General information

NPI: 1790650653
Provider Name (Legal Business Name): ALEXANDER JAMES PERKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 N COLLEGE ST STE D
AUBURN AL
36830-3815
US

IV. Provider business mailing address

1515 KICKER RD APT 313
TUSCALOOSA AL
35404-4883
US

V. Phone/Fax

Practice location:
  • Phone: 334-750-7785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6850G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: